Articles: postoperative-pain.
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Clin. Orthop. Relat. Res. · Nov 2001
Comparative StudyPain control after knee arthroplasty: intraarticular versus epidural anesthesia.
The current study compared the effectiveness of a pain control infusion pump with patient-controlled epidural anesthesia in managing pain after primary total knee arthroplasty. Two protocols using the infusion pump or epidural anesthesia were reviewed retrospectively. Eighty-six consecutive patients (91 knees) treated with the infusion pump were compared with 82 consecutive patients (91 knees) treated with epidural anesthesia. ⋯ Significantly more acetaminophen, propoxyphene napsylate, and ketorolac were used by patients with an infusion pump. Similar amounts of other analgesics were used in each group. Prolonged wound drainage (> 3 days) was more common in the patients with an infusion pump (four patients; five knees) versus patients with epidural anesthesia (no patients).
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Clinical nursing research · Nov 2001
Adult patients' postoperative pain descriptions and responses to the Short-Form McGill Pain Questionnaire.
This study examined the clinical usefulness of the Short-Form McGill Pain Questionnaire (SF-MPQ). Thirty postoperative patients were asked to describe their postoperative pain and were then administered the SF-MPQ. ⋯ Pain descriptions by patients that go beyond pain intensity descriptions may communicate more precise information about the pain and lead to more effective pain interventions. Patients with difficulty describing their pain might be assisted by using the SF-MPQ.
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Ann Fr Anesth Reanim · Nov 2001
Letter Randomized Controlled Trial Clinical Trial[Audit of the management of postoperative pain in children].
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Paediatric anaesthesia · Nov 2001
Randomized Controlled Trial Comparative Study Clinical TrialHow to prolong postoperative analgesia after caudal anaesthesia with ropivacaine in children: S-ketamine versus clonidine.
The aim of the study was to determine whether caudal S-ketamine or clonidine prolonged analgesia together with ropivacaine. ⋯ This study demonstrates that S-ketamine 0.5 mg x kg(-1) when added to 0.2% caudal ropivacaine provides better postoperative analgesia than clonidine without any clinically significant side-effect.
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Randomized Controlled Trial Comparative Study Clinical Trial
Double-masked randomized trial comparing alternate combinations of intraoperative anesthesia and postoperative analgesia in abdominal aortic surgery.
Improvement in patient outcome and reduced use of medical resources may result from using epidural anesthesia and analgesia as compared with general anesthesia and intravenous opioids, although the relative importance of intraoperative versus postoperative technique has not been studied. This prospective, double-masked, randomized clinical trial was designed to compare alternate combinations of intraoperative anesthesia and postoperative analgesia with respect to postoperative outcomes in patients undergoing surgery of the abdominal aorta. ⋯ In patients undergoing surgery of the abdominal aorta, thoracic epidural anesthesia combined with a light general anesthesia and followed by either intravenous or epidural patient-controlled analgesia, offers no major advantage or disadvantage when compared with general anesthesia alone followed by either intravenous or epidural patient-controlled analgesia.